James, Michael
James, Michael was paid $2K by Medicaid between Jul 2021 and Jul 2022, across 3 billing codes. Its largest line is S0620, Routine ophthalmological examination including refraction; new patient — 100% of everything it billed.
33Billing provider infoJAMES, MICHAEL
GUN BARREL CITY, TX 75156
GUN BARREL CITY, TX 75156
33aNPI1922151133assigned 01/19/2007
33bProvider typeOptometrist
28Total paid$2K
24GClaims113
24DCodes billed3
24AFirst – last monthJul 2021 – Jul 2022
Compared with peers
Next to other Optometrist providers in Texas
Rank by total paid#1,152 of 1,408
Median peer was paid$30K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2021 | 80 | $325.73 | |
| 2022 | 33 | $1K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| S0620 | Routine ophthalmological examination including refraction; new patient | 100% | 52 | 42 | $2K |
| 92015 | Determination of refractive state | 0% | 46 | 29 | $0.00 |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | 0% | 15 | 15 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.